<%@ page contentType="text/html;charset=UTF-8"%>
    
    <script type="text/javascript">
        
        function selectjyfw(index){
            var bool = document.getElementById("jyfw"+index).checked;
            if(bool){
                for(var i = 1; i <= 3; i++){
                    if(i != index){
                        document.getElementById("jyfw"+i).checked=false;
                    }
                }
            }
        }
    </script>
    
    <table width="700" border="0" cellspacing="1" cellpadding="1">
      <tr>
        <td>
        <table width="100%" border="0" cellspacing="1" cellpadding="1" >
          <tr>
          <td height="20" bordercolor="#000000" align="center" style="font-size:22px;">
            <b>城市道路人行道及相关公共场地挖掘申请表</b>
          </td>
          </tr>
        </table>
        </td>
      </tr>
            <tr>
              <td><table width="100%" border="1" cellspacing="0" cellpadding="2" class="tpl_list_ui">
                <tr>
                  <td width="10%" height="0"></td>
                  <td width="10%"></td>
                  <td width="10%"></td>
                  <td width="10%"></td>
                  <td width="10%"></td>
                  <td width="10%"></td>
                  <td width="10%"></td>
                  <td width="10%"></td>
                  <td width="10%"></td>
                  <td width="10%"></td>
                </tr>
                 <tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center">填表日期</td>
                  <td colspan="4" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input  class="text" id="tbrq"  name="tbrq" value="<s:date name='tbrq' format='yyyy年MM月dd日'/>" type="text" style="width:100%" onfocus="WdatePicker({dateFmt:'yyyy年MM月dd日'})" readonly />
                  </td>
                  <td bordercolor="#000000" colspan="2" height="25" align="center">受理号</td>
                  <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="acceptNo" id="acceptNo" value="${acceptNo}" type="text" style="width:100%" />
                  </td>
                </tr>
				<tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>建设单位</td>
                  <td colspan="8" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="jsdw" value="${jsdw}" type="text" style="width:510" required="true"/>
                    <!-- 
                    <input  value="..." type="button" style="width:30" onclick="selectQyxx('${templateCode}');"></input>
                  -->
                  </td>
                </tr>
                <tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center">建设单位地址</td>
                  <td colspan="4" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input  class="text" id="jsdwAddress"  name="jsdwAddress" value="${jsdwAddress}" type="text" style="width:100%"/>
                  </td>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>建设单位电话</td>
                  <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="jsdwTel" id="jsdwTel" value="${jsdwTel}" required="true"  type="text" style="width:100%"/>
                  </td>
                </tr>
				<tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center">法定代表人</td>
                  <td colspan="4" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input  name="fddbr" style="width:100%" id="fddbr" value="${fddbr}" type="text" style="width:100%"/>
                   
                  </td>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>联系人</td>
                  <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="lxr"  id="lxr"  value="${lxr}" type="text" required="true" style="width:100%" />
                  </td>
                </tr>
				<tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>施工单位</td>
                  <td colspan="8" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="sgdw" value="${sgdw}" id="sgdw" type="text" style="width:510" />
                    <!-- 
                    <input  value="..." type="button" style="width:30" onclick="selectQyxx('${templateCode}');"></input>
                   -->
                  </td>
                </tr>
                <tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center">施工单位地址</td>
                  <td colspan="4" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input  class="text" id="sgdwAddress"  name="sgdwAddress" value="${sgdwAddress}" type="text" style="width:100%" />
                  </td>
                  <td bordercolor="#000000" colspan="2" height="25" align="center">施工单位电话</td>
                  <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="sgdwTel" id="sgdwTel" value="${sgdwTel}" type="text" style="width:100%"/>
                  </td>
                </tr>
				<tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center">安全负责人</td>
                  <td colspan="4" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input  name="aqfzr" style="width:100%"  name="aqfzr" id=aqfzr value="${aqfzr}" type="text" class="text"  />
                   
                  </td>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>联系人</td>
                  <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="sgdwLxr"  id="sgdwLxr"  value="${sgdwLxr}" type="text" style="width:100%" />
                  </td>
                </tr>
                
				<tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center">市城乡规划部门批准文号 </td>
                  <td colspan="9" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input  name="scxpzwh" style="width:100%" id="scxpzwh" value="${scxpzwh}" type="text" class="text"  />
                  </td>
               
                </tr>
                  <tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>许可证编号</td>
                  <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input  name="zsbh" style="width:100%" id="zsbh"  value="${zsbh}" required="true" class="text" type="text" />
                   
                  </td>
                 
                </tr>
					<tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center"><font color="red">*</font>挖掘道路名和起止路段  </td>
                  <td colspan="9" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input  name="wjdlmqzld" style="width:100%" id="wjdlmqzld" value="${wjdlmqzld }"  required="true" class="text" />
                  </td>
               
                </tr>
				<tr>
                  <td bordercolor="#000000" rowspan="6" colspan="2" height="25" align="center">道路挖掘情况</td>
                 </tr>
				
				<tr>
                  <td bordercolor="#000000" rowspan="" colspan="4" height="25" align="center">人行道</td>
                  <td colspan="" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">长(M)
                  </td>
                  <td >
                   <input  size="5" class="text" id="rxdLength" name="rxdLength" value="${rxdLength}" id="v_fwdh"/> 
                  </td>
                  <td bordercolor="#000000" colspan="" height="25" align="center">宽(M)</td>
                  <td colspan="" colspan="4" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" id="rxdWidth" name="rxdWidth" value="${rxdWidth}" type="text" size=5  id="v_qxdh"/> 
                  </td>
                </tr>
				<tr>
                  <td bordercolor="#000000" rowspan="" colspan="4" height="25" align="center">公共场所 </td>
                  <td colspan="" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">长(M)
                  </td>
                  <td >
                   <input  size="5" class="text" id="ggcsLength" name="ggcsLength" value="${ggcsLength}" /> 
                  </td>
                  <td bordercolor="#000000" colspan="" height="25" align="center">宽(M)</td>
                  <td colspan="" colspan="4" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" id="ggcsWidth" name="ggcsWidth" value="${ggcsWidth}" type="text" size=5  /> 
                  </td>
                </tr>
                <tr>
                  <td bordercolor="#000000" rowspan="" colspan="4" height="25" align="center">是否新建、改建、扩建和大修道路未满使用年限  </td>
                  <td  colspan="6">
                     是<input type="radio" name="sfwmnx" value="1" ${'1' eq sfwmnx ? 'checked="checked"':''} id="sfwmnx" title="是否未满年限" class=""/>
                  否<input type="radio"  name="sfwmnx"    value="2" ${'2' eq sfwmnx ? 'checked="checked"':''} id="sfwmnx" title="是否未满年限" class=""/>      
               </td>
                </tr>
                 <tr>
                  <td bordercolor="#000000" rowspan="" colspan="4" height="25" align="center">是否挖掘车行道 </td>
                    <td  colspan="6">
                  是<input type="radio" name="sfwjcxd" value="1" ${'1' eq sfwjcxd ?  'checked="checked"':''} id="sfwjcxd" title="是否未满年限" class=""/>
                  否<input type="radio" name="sfwjcxd" value="2" ${'2' eq sfwjcxd ?  'checked="checked"':''} id="sfwjcxd" title="是否未满年限" class=""/>      
               </td>
                </tr>
                <tr>
                  <td bordercolor="#000000" rowspan="" colspan="4" height="25" align="center">属于城区重点道路 </td>
                     <td  colspan="6">
                     是<input type="radio" name="sfzddl" value="1" ${'1' eq sfzddl ?  'checked="checked"':''} id="sfzddl" title="是否未满年限" class=""/>
                  否<input type="radio" name="sfzddl" value="2" ${'2' eq sfzddl ?  'checked="checked"':''} id="sfzddl" title="是否未满年限" class=""/>      
               </td>
                </tr>
                   <tr>
                  <td bordercolor="#000000" align="center"   colspan="2" height="25" >挖掘计划安排 </td>
                  <td colspan="8" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input class="text"   name="qyglbmyj" style="width:100%" id="qyglbmyj" value="${qyglbmyj}"  type="text"/>
                  </td>
               
                </tr>
                 <tr>
                  <td bordercolor="#000000" align="center"   colspan="2" height="25" >挖掘类别 </td>
                   <td  colspan="8" style=" border-style:solid; border-color:#000000; border-right-width:1px; border-left-width:0px; border-bottom-width:1px; border-top-width:0px;"  width="533" height="55">
			          移动、改建市政设<input type="checkbox" name="wjlb0" value="0" ${'0' eq wjlb0 ?  'checked="checked"':''} id="wjlb0" title="" class=""/>&#160;&#160;燃气设施改动<input type="checkbox" name="wjlb1" value="0" ${'0' eq wjlb1 ?  'checked="checked"':''} id="wjlb1" title="" class=""/>接驳市政排水管网<input type="checkbox" name="wjlb2" value="0" ${'0' eq wjlb2 ?  'checked="checked"':''} id="wjlb2" title="" class=""/>&#160;供电&#160;&#160;<input type="checkbox" name="wjlb3" value="0" ${'0' eq wjlb3 ?  'checked="checked"':''} id="wjlb3" title="" class=""/><br>改装、拆除或迁移城市公共供水设施<input type="checkbox" name="wjlb4" value="0" ${'0' eq wjlb4 ?  'checked="checked"':''} id="wjlb4" title="" class=""/>&#160;<br>&#160;新建、扩建、改建城市道路、排水防洪管渠、污水管道管网&#160;<input type="checkbox" name="wjlb5" value="0" ${'0' eq wjlb5 ?  'checked="checked"':''} id="wjlb5" title="" class=""/>&#160;<br>砍伐、迁移、修剪城市树木<input type="checkbox" name="wjlb6" value="0" ${'0' eq wjlb6 ?  'checked="checked"':''} id="wjlb6" title="" class=""/>&#160;&#160;&#160;
			          电信<input type="checkbox" name="wjlb7" value="0" ${'0' eq wjlb7 ?  'checked="checked"':''} id="wjlb7" title="" class=""/>&#160;&#160;
			          其他<input type="checkbox" name="wjlb8" value="0" ${'0' eq wjlb8 ?  'checked="checked"':''} id="wjlb8" title="" class=""/>
			        </td>
                </tr>
                 <tr>
                  <td bordercolor="#000000" align="center"   colspan="2" height="25" >公安交通管理部门意见 </td>
                   <td  colspan="8">
			            <textarea  class="gajtglbmyj" rows="8" name="gajtglbmyj" id="" style="width:100%">${gajtglbmyj}</textarea>

			        </td>
                </tr>
                <tr>
                  <td bordercolor="#000000" colspan="2" height="25" align="center">缴款金额</td>
                  <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                   <input  name="sfje" style="width:100%" id="sfje" value="${sfje}"  class="text" type="text" />
                   
                  </td>
                  <td bordercolor="#000000" colspan="" height="25" align="center">缴款通知书号</td>
                  <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="sfbh"  id="sfbh"  value="${sfbh}" type="text" style="width:100%"/>
                  </td>
                    <td bordercolor="#000000" colspan="" height="25" align="center">发票号</td>
                    <td colspan="2" bordercolor="#000000" style="padding: 1px 1px 1px 1px;">
                    <input  class="text" name="fph"  id="fph"  value="${fph}" type="text" style="width:100%"/>
                  </td>
                </tr>
               
              </table>
              </td>
            </tr>
    </table>